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2021 Plan Information for Florida
Choose a Location, Employee Type, & Payment Period
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Nationwide
Non-Postal
Certain Temporary Employees
Annuitant
U.S. Postal Service (Category 1)
Former Spouse Enrollee
Federal Deposit Insurance Corporation
Temporary Continuation of Coverage (TCC)
U.S. Postal Service (Category 2)
Tribal Employee
Biweekly
Every Four Weeks
Semi-Monthly
Monthly
Location Specific Rates
Contract
Enrollment Code
Enrollment Type
Option/Enrollment Type
Payment Period
Employee Payment
Aetna Direct
224
Non-Postal
HDHP Self
Monthly
262.6
Aetna Direct
225
Non-Postal
HDHP Self & Family
Monthly
515.62
Aetna Direct
226
Non-Postal
HDHP Self Plus One
Monthly
578.72
Aetna Direct
N61
Non-Postal
CDHP Self
Monthly
153.96
Aetna Direct
N62
Non-Postal
CDHP Self & Family
Monthly
388.27
Aetna Direct
N63
Non-Postal
CDHP Self Plus One
Monthly
337.64
Aetna Direct
Z24
Non-Postal
Advantage Self
Monthly
125
Aetna Direct
Z25
Non-Postal
Advantage Self & Family
Monthly
331.25
Aetna Direct
Z26
Non-Postal
Advantage Self Plus One
Monthly
275
Aetna HealthFund CDHP and Aetna Value Plan
F51
Non-Postal
CDHP Self
Monthly
328.32
Aetna HealthFund CDHP and Aetna Value Plan
F52
Non-Postal
CDHP Self & Family
Monthly
723.82
Aetna HealthFund CDHP and Aetna Value Plan
F53
Non-Postal
CDHP Self Plus One
Monthly
801.65
Aetna HealthFund CDHP and Aetna Value Plan
F54
Non-Postal
Value Self
Monthly
298.4
Aetna HealthFund CDHP and Aetna Value Plan
F55
Non-Postal
Value Self & Family
Monthly
663.67
Aetna HealthFund CDHP and Aetna Value Plan
F56
Non-Postal
Value Self Plus One
Monthly
723.8
AvMed
ML4
Non-Postal
Standard Self
Monthly
297.55
AvMed
ML5
Non-Postal
Standard Self & Family
Monthly
780.71
AvMed
ML6
Non-Postal
Standard Self Plus One
Monthly
602.9
AvMed
WZ1
Non-Postal
HDHP Self
Monthly
238.66
AvMed
WZ2
Non-Postal
HDHP Self & Family
Monthly
543.79
AvMed
WZ3
Non-Postal
HDHP Self Plus One
Monthly
407.51
Capital Health Plan
EA1
Non-Postal
High Self
Monthly
172.62
Capital Health Plan
EA2
Non-Postal
High Self & Family
Monthly
400.05
Capital Health Plan
EA3
Non-Postal
High Self Plus One
Monthly
388.83
Humana CoverageFirst and Humana Value Plan
MJ1
Non-Postal
CDHP Self
Monthly
500.5
Humana CoverageFirst and Humana Value Plan
MJ2
Non-Postal
CDHP Self & Family
Monthly
1085.59
Humana CoverageFirst and Humana Value Plan
MJ3
Non-Postal
CDHP Self Plus One
Monthly
1080.28
Humana CoverageFirst and Humana Value Plan
MJ4
Non-Postal
Value Self
Monthly
140.3
Humana CoverageFirst and Humana Value Plan
MJ5
Non-Postal
Value Self & Family
Monthly
315.67
Humana CoverageFirst and Humana Value Plan
MJ6
Non-Postal
Value Self Plus One
Monthly
301.64
Humana CoverageFirst and Humana Value Plan
QP1
Non-Postal
CDHP Self
Monthly
245.14
Humana CoverageFirst and Humana Value Plan
QP2
Non-Postal
CDHP Self & Family
Monthly
513.35
Humana CoverageFirst and Humana Value Plan
QP3
Non-Postal
CDHP Self Plus One
Monthly
533.42
Humana CoverageFirst and Humana Value Plan
QP4
Non-Postal
Value Self
Monthly
137.63
Humana CoverageFirst and Humana Value Plan
QP5
Non-Postal
Value Self & Family
Monthly
309.65
Humana CoverageFirst and Humana Value Plan
QP6
Non-Postal
Value Self Plus One
Monthly
295.89
Humana CoverageFirst and Humana Value Plan
W91
Non-Postal
CDHP Self
Monthly
173.02
Humana CoverageFirst and Humana Value Plan
W92
Non-Postal
CDHP Self & Family
Monthly
389.29
Humana CoverageFirst and Humana Value Plan
W93
Non-Postal
CDHP Self Plus One
Monthly
371.99
Humana CoverageFirst and Humana Value Plan
W94
Non-Postal
Value Self
Monthly
146.37
Humana CoverageFirst and Humana Value Plan
W95
Non-Postal
Value Self & Family
Monthly
329.33
Humana CoverageFirst and Humana Value Plan
W96
Non-Postal
Value Self Plus One
Monthly
314.7
Humana CoverageFirst and Humana Value Plan
X21
Non-Postal
CDHP Self
Monthly
151.57
Humana CoverageFirst and Humana Value Plan
X22
Non-Postal
CDHP Self & Family
Monthly
341.05
Humana CoverageFirst and Humana Value Plan
X23
Non-Postal
CDHP Self Plus One
Monthly
325.89
Humana CoverageFirst and Humana Value Plan
X24
Non-Postal
Value Self
Monthly
128.22
Humana CoverageFirst and Humana Value Plan
X25
Non-Postal
Value Self & Family
Monthly
288.51
Humana CoverageFirst and Humana Value Plan
X26
Non-Postal
Value Self Plus One
Monthly
275.69
Humana Medical Plan, Inc.
E21
Non-Postal
High Self
Monthly
763.41
Humana Medical Plan, Inc.
E22
Non-Postal
High Self & Family
Monthly
1677.06
Humana Medical Plan, Inc.
E23
Non-Postal
High Self Plus One
Monthly
1645.44
Humana Medical Plan, Inc.
E24
Non-Postal
Standard Self
Monthly
242.71
Humana Medical Plan, Inc.
E25
Non-Postal
Standard Self & Family
Monthly
505.57
Humana Medical Plan, Inc.
E26
Non-Postal
Standard Self Plus One
Monthly
525.98
Humana Medical Plan, Inc.
EE1
Non-Postal
High Self
Monthly
725.51
Humana Medical Plan, Inc.
EE2
Non-Postal
High Self & Family
Monthly
1591.94
Humana Medical Plan, Inc.
EE3
Non-Postal
High Self Plus One
Monthly
1564.14
Humana Medical Plan, Inc.
EE4
Non-Postal
Standard Self
Monthly
593.35
Humana Medical Plan, Inc.
EE5
Non-Postal
Standard Self & Family
Monthly
1294.5
Humana Medical Plan, Inc.
EE6
Non-Postal
Standard Self Plus One
Monthly
1279.88
Humana Medical Plan, Inc.
EX1
Non-Postal
High Self
Monthly
495.07
Humana Medical Plan, Inc.
EX2
Non-Postal
High Self & Family
Monthly
1073.32
Humana Medical Plan, Inc.
EX3
Non-Postal
High Self Plus One
Monthly
1068.52
Humana Medical Plan, Inc.
EX4
Non-Postal
Standard Self
Monthly
311.31
Humana Medical Plan, Inc.
EX5
Non-Postal
Standard Self & Family
Monthly
659.94
Humana Medical Plan, Inc.
EX6
Non-Postal
Standard Self Plus One
Monthly
673.51
Humana Medical Plan, Inc.
LL1
Non-Postal
High Self
Monthly
1185.52
Humana Medical Plan, Inc.
LL2
Non-Postal
High Self & Family
Monthly
2626.84
Humana Medical Plan, Inc.
LL3
Non-Postal
High Self Plus One
Monthly
2552.99
Humana Medical Plan, Inc.
LL4
Non-Postal
Standard Self
Monthly
669.79
Humana Medical Plan, Inc.
LL5
Non-Postal
Standard Self & Family
Monthly
1466.44
Humana Medical Plan, Inc.
LL6
Non-Postal
Standard Self Plus One
Monthly
1444.17
UnitedHealthcare Advantage Plan
Y51
Non-Postal
High Self
Monthly
102.93
UnitedHealthcare Advantage Plan
Y52
Non-Postal
High Self & Family
Monthly
272.77
UnitedHealthcare Advantage Plan
Y53
Non-Postal
High Self Plus One
Monthly
226.45
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LS1
Non-Postal
HDHP Self
Monthly
121.46
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LS2
Non-Postal
HDHP Self & Family
Monthly
279.37
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LS3
Non-Postal
HDHP Self Plus One
Monthly
261.15
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
KK1
Non-Postal
High Self
Monthly
245.62
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
KK2
Non-Postal
High Self & Family
Monthly
704.43
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
KK3
Non-Postal
High Self Plus One
Monthly
532.31
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
LV1
Non-Postal
Value Self
Monthly
227.2
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
LV2
Non-Postal
Value Self & Family
Monthly
1033.69
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
LV3
Non-Postal
Value Self Plus One
Monthly
492.73
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
AS1
Non-Postal
High Self
Monthly
149.87
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
AS2
Non-Postal
High Self & Family
Monthly
354.44
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
AS3
Non-Postal
High Self Plus One
Monthly
322.22
UnitedHealthcare Insurance Company, Inc. Choice Primary
Y81
Non-Postal
High Self
Monthly
144.18
UnitedHealthcare Insurance Company, Inc. Choice Primary
Y82
Non-Postal
High Self & Family
Monthly
340.98
UnitedHealthcare Insurance Company, Inc. Choice Primary
Y83
Non-Postal
High Self Plus One
Monthly
309.98
U.S. Office of Personnel Management
1900 E Street, NW, Washington, DC 20415
202-606-1800
Federal Relay Service